Individual
NIMA MIKAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-4583
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 792-4583
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
86385
SC
Other
Enumeration date
06/26/2021
Last updated
06/26/2021
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